Withholding or termination of resuscitation in pediatric out-of-hospital traumatic cardiopulmonary arrest

Title

Withholding or termination of resuscitation in pediatric out-of-hospital traumatic cardiopulmonary arrest

Creator

American College of Surgeons Committee on Trauma; Pediatric Emergency Medicine Committee - American College of Emergency Physicians; National Association of EMS Physicians; American Academy of Pediatrics Committee on Pediatric Emergency Medicine; Fallat ME

Publisher

Annals Of Emergency Medicine

Date

2014

Subject

adolescent; Child; Humans; Resuscitation Orders; cardiopulmonary resuscitation; Wounds and Injuries; Out-of-Hospital Cardiac Arrest; Thoracotomy

Description

This multiorganizational literature review was undertaken to provide an evidence base for determining whether or not recommendations for out-of-hospital termination of resuscitation could be made for children who are victims of traumatic cardiopulmonary arrest. Although there is increasing acceptance of out-of-hospital termination of resuscitation for adult traumatic cardiopulmonary arrest when there is no expectation of a good outcome, children are routinely excluded from state termination-of-resuscitation protocols. The decision to withhold resuscitative efforts in a child under specific circumstances (decapitation or dependent lividity, rigor mortis, etc) is reasonable. If there is any doubt as to the circumstances or timing of the traumatic cardiopulmonary arrest, under the current status of limiting termination of resuscitation in the field to persons older than 18 years in most states, resuscitation should be initiated and continued until arrival to the appropriate facility. If the patient has arrested, resuscitation has already exceeded 30 minutes, and the nearest facility is more than 30 minutes away, involvement of parents and family of these children in the decision-making process with assistance and guidance from medical professionals should be considered as part of an emphasis on family-centered care, because the evidence suggests that either death or a poor outcome is inevitable.
2014-04

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

504-515

Issue

4

Volume

63

Citation

American College of Surgeons Committee on Trauma; Pediatric Emergency Medicine Committee - American College of Emergency Physicians; National Association of EMS Physicians; American Academy of Pediatrics Committee on Pediatric Emergency Medicine; Fallat ME, “Withholding or termination of resuscitation in pediatric out-of-hospital traumatic cardiopulmonary arrest,” Pediatric Palliative Care Library, accessed August 1, 2021, https://pedpalascnetlibrary.omeka.net/items/show/15057.

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